How much rates vary
Facilitymedian $162 · 10th to 90th $91 to $513Professionalmedian $26 · 10th to 90th $10 to $41
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $12.59 Median $12.88 Typical High $41.69 | Facility | None | $12.59 | $12.88 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $22.39 Typical High $42.66 | Professional | None | $10.00 | $22.39 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $14.13 Typical High $21.38 | Professional | 52 · Reduced service | $6.31 | $14.13 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $5.62 Typical High $8.51 | Professional | 53 · Discontinued | $2.51 | $5.62 | $8.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $9.33 Median $20.89 Typical High $31.62 | Professional | 54 · Surgery only | $9.33 | $20.89 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $4.17 Typical High $6.31 | Professional | 55 · Aftercare only | $1.86 | $4.17 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $2.82 Typical High $4.27 | Professional | 56 · Pre-op care only | $1.26 | $2.82 | $4.27 |
BCBS Michigan Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $457.09 | Facility | None | $147.91 | $186.21 | $457.09 |
BCBS Michigan Setting Professional Modifier None Typical Low $5.62 Median $13.80 Typical High $38.02 | Professional | None | $5.62 | $13.80 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $20.89 Typical High $53.70 | Professional | None | $8.51 | $20.89 | $53.70 |
Health Alliance Plan Setting Facility Modifier None Typical Low $38.90 Median $91.20 Typical High $309.03 | Facility | None | $38.90 | $91.20 | $309.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $12.02 Median $28.84 Typical High $39.81 | Professional | None | $12.02 | $28.84 | $39.81 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.31 Typical High $19.95 | Professional | 52 · Reduced service | $6.03 | $6.31 | $19.95 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.51 Typical High $8.13 | Professional | 53 · Discontinued | $2.45 | $2.51 | $8.13 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $9.12 Median $9.55 Typical High $30.20 | Professional | 54 · Surgery only | $9.12 | $9.55 | $30.20 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $1.91 Typical High $6.03 | Professional | 55 · Aftercare only | $1.82 | $1.91 | $6.03 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.26 Typical High $4.07 | Professional | 56 · Pre-op care only | $1.20 | $1.26 | $4.07 |
Priority Health Setting Professional Modifier None Typical Low $6.76 Median $15.49 Typical High $36.31 | Professional | None | $6.76 | $15.49 | $36.31 |
United Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $1,258.93 | Facility | None | $89.13 | $177.83 | $1,258.93 |
United Setting Professional Modifier None Typical Low $12.02 Median $27.54 Typical High $40.74 | Professional | None | $12.02 | $27.54 | $40.74 |
Where Michigan sits
The same service costs 4.2 times more in Wisconsin than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Michigan· 29th of 51
$30.20
WI $67.61NE $16.22
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.